Provider Demographics
NPI:1023334612
Name:TROTTER, ASHLEY RENEE (AUD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:RENEE
Last Name:TROTTER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 WILLOWOOD CIR
Mailing Address - Street 2:APT. #2021
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3373
Mailing Address - Country:US
Mailing Address - Phone:501-658-1362
Mailing Address - Fax:
Practice Address - Street 1:1730 W RANDOL MILL RD
Practice Address - Street 2:STE, 190
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3054
Practice Address - Country:US
Practice Address - Phone:817-265-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80184231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist